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WHO STEPS Instrument Question-by-Question Guide

(Core and Expanded)

The WHO STEPwise approach to chronic disease risk factor surveillance (STEPS)
World Health Organization

20 Avenue Appia, 1211 Geneva 27, Switzerland For further information: www.who.int/chp/steps

STEPS Question-by-Question (Q-by-Q)


Guide
Overview
Introductio n

The Question-by-Question Guide presents the STEPS Instrument with a brief explanation for each of the questions. The purpose of the Question-by-Question Guide is to provide background information to the interviewers and supervisors as to what is intended by each question. Interviewers can use this information when participants request clarification about specific questions or they do not know the answer. Interviewers and supervisors should refrain from offering their own interpretations.

Purpose

Guide to the colu mns

The table below is a brief guide to each of the columns in the Q-by-Q Guide.

Column Number Question

Description This question reference number is designed to help interviewers find their place if interrupted. The question text to be read to the participants followed by question instructions. This column lists the available response options which the interviewer will be circling or filling in the text boxes. The skip instructions are shown on the right hand side of the responses and should be carefully followed during interviews. The column is designed to match data from the Instrument into the data entry tool, data analysis syntax, data book, and fact sheet.

Response

Code

Site Tailoring Renumber the instrument sequentially once the content has been finalized Select sections to use. Add expanded and optional questions as desired. Add site specific responses for demographic responses (e.g. C6). Change skip question identifiers from code to question number. This should never be changed or removed. The code is used as a general identifier for the data entry and analysis.

Participant Identification Number

STEPS Q-by-Q Guide


for Chronic Disease Risk Factor Surveillance <insert country/site name>
Survey Information

Location and Date


Cluster/Centre/Village ID

Response

Code

Record Cluster, Centre or Village ID from list provided Cluster/Centre/Village name

I1

Insert Cluster, Centre or Village name as appropriate Interviewer ID Record interviewer's identification Date of completion of the instrument Record date when instrument actually completed

I2 I3 I4

3 4

mm year

dd

For further guidance on obtaining consent, see Part 4, Section 1, Page 4-1-11.

Participant Id Number

Consent, Interview Language and Name


5
Consent has been read and obtained Circle relevant response. Interview Language [Insert Language] Circle relevant response. Time of interview (24 hour clock) Record time interview started. Family Surname Yes No English [Add others] [Add others] [Add others]

Response
1 2 1 2 3 4 If NO, END

Code

I5 I6

hrs

I7

mins

Write family surname (reassure the participant on the confidential nature of this information and that this is only needed for follow up). First Name Write first name of respondent.

I8
I9

Additional Information that may be helpful


10
Contact phone number where possible Record phone number.

I10

Record and file identification information (I5 to I10) separately from the completed questionnaire.

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Participant Identification Number

Step 1 Demographic Information


For further guidance on completing demographic information, see Part 3, Section 2.

CORE: Demographic Information


Question
11
Sex (Record Male / Female as observed) Circle Male / Female as observed. What is your date of birth? Don't Know 77 77 7777 Record date of birth of participant. How old are you? Help participant estimate their age by interviewing them about their recollection of widely known major events. In total, how many years have you spent at school or in full-time study (excluding pre-school)? Record total number of years of education (excluding pre-school and kindergarten).

Response
Male Female 1 2

Code C1 C2

12

If known, Go to
C4

dd

mm
Years

year

13

C3

14

Years

C4

EXPANDED: Demographic Information


What is the highest level of education you have completed? [INSERT COUNTRY-SPECIFIC CATEGORIES] If a person attended a few months of the first year of secondary school but did not complete the year, record primary school completed. If a person only attended a few years of primary school, record less than primary school. What is your [insert relevant ethnic group / racial group / cultural subgroup / others] background? Circle the relevant ethnic/cultural group to which the participant belongs. No formal schooling Less than primary Primary school school completed Secondary school completed High school completed College/University completed Post graduate degree Refused [Locally defined] [Locally defined] [Locally defined] Refused Never married Currently married Separated Divorced Widowed Cohabitating Refused Which of the following best describes your main work status over the past 12 months? [INSERT COUNTRY-SPECIFIC CATEGORIES] (USE SHOWCARD) The purpose of this question is to help answer other questions such as whether or not health status contributes to unemployment, or whether people in different kinds of occupations may be confronted with different risk factors. How many people older than 18 years, including yourself, live in your Government employee Non-government employee Self-employed Non-paid Student Homemaker Retired Unemployed (able to work) Unemployed (unable to work) Refused Number of people 1 2 3 4 5 6 7 88 1 2 3 88 1 2 3 4 5 6 88 1 2 3 4 5 6 7 8 9 88

15

C5

16

C6

17

What is your marital status? Circle the appropriate response.

C7

18

C8

19

C9
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Participant Identification Number


household? Record the total number of people living in the household who are 18 years or older.

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Participant Identification Number

EXPANDED: Demographic Information, Continued


Question
Taking the past year, can you tell me what the average earnings of the household have been? (RECORD ONLY ONE, NOT ALL 3) Record the average earnings of the household by week, month, or year. If refused to answer, skip to C11. If you dont know the amount, can you give an estimate of the annual household income if I read some options to you? Is it [INSERT QUINTILE VALUES IN LOCAL CURRENCY] (READ OPTIONS) Circle the quintile value which is the closest to the annual household Per week OR per month OR per year Refused

Response

88 1 2 3 4 5 77 88

Code
Go to T1 Go to T1 Go to T1

C10a C10b C10c C10d

20

Quintile (Q) 1 More than Q 1, Q 2 More than Q 2, Q 3 More than Q 3, Q 4 More than Q 4 Don't Know Refused

21

C11

Step 1 CORE: Tobacco Use

Behavioural Measurements

For further guidance on completing Behavioural Measurements, see Part 3, Section 2.

Now I am going to ask you some questions about various health behaviours. This includes things like smoking, drinking alcohol, eating fruits and vegetables and physical activity. Let's start with tobacco.

Question
Do you currently smoke any tobacco products, such as cigarettes, cigars or pipes? (USE SHOWCARD) Ask the participant to think of any tobacco products he/she is smoking currently. Do you currently smoke tobacco products daily? This question is only for current smokers of tobacco products. How old were you when you first started smoking daily? For current daily smokers only. Ask the participant to think of the time when he/she started to smoke any tobacco products daily. Do you remember how long ago it was? (RECORD ONLY 1, NOT ALL 3) Dont know 77 If the participant doesnt remember his/her age when started smoking, then record the time in years, months or weeks as appropriate. On average, how many of the following do you smoke each day? (RECORD FOR EACH TYPE)

Response
Yes No Yes No Age (years) 1 2 1 2 If No, go to T6 If No, go to T6

Code

22

T1

23

T2

24

T3
Dont know 77 In Years OR OR in Months in Weeks

If known, go to
T5a

If known, go to
T5a

T4a T4b T4c T5a T5b T5c T5d T5e


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25

If known, go to
T5a


If Other, go to T5other, else go to T9

Manufactured cigarettes Hand-rolled cigarettes Pipes full of tobacco Cigars, cheroots, cigarillos Other

26

Dont know 77 For current daily smokers only. Specify zero if no products were used in each category instead of leaving

WHO STEPwise approach to chronic disease risk factor surveillance- Instrument v2.1

Participant Identification Number

categories blank. Then go to T9 . Daily smokers don't have to answer Other (please specify):

Go to T9

T5othe r

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Participant Identification Number

EXPANDED: Tobacco Use


Question
27
In the past, did you ever smoke daily? Ask the participant to think of the time when he/she may have been smoking tobacco products on a daily basis. How old were you when you stopped smoking daily? Ask the participant to think of the time when he/she stopped smoking tobacco products on a daily basis. Do you remember how long ago it was? (RECORD ONLY 1, NOT ALL 3)

Response
Yes No Age (years) Dont Know 77

Code T6

1 2
If No, go to T9

28

If Known, go to
T9

T7

In Years

If Known, go to
T9

T8a T8b T8c

29

Dont know 77 If the participant doesn't remember his/her age when they started smoking, then record the time in weeks, months or years as appropriate. Do you currently use any smokeless tobacco such as [snuff, chewing tobacco, betel]? (USE SHOWCARD) Ask the participant to think of any smokeless tobacco products the he/she is using currently. Do you currently use smokeless tobacco products daily? For current users of smokeless tobacco products only. On average, how many times a day do you use . (RECORD FOR EACH TYPE, USE SHOWCARD) Don't Know 77 For daily users of smokeless tobacco products only. Record for each type of smokeless tobacco products. Record zero if no products were used in each category instead of leaving categories blank. Then go to T13 . Daily users of smokeless tobacco don't have to answer the question on past use T12. In the past, did you ever use smokeless tobacco such as [snuff, chewing tobacco, or betel] daily? Ask the participant to think of the time when he/she may have been using smokeless tobacco products on a daily basis. During the past 7 days, on how many days did someone in your home smoke when you were present? Record the number of days. During the past 7 days, on how many days did someone smoke in closed areas in your workplace (in the

OR OR

in Months in Weeks Yes

If Known, go to
T9

30

No

If No, go to T12

T9

31

Yes No Snuff, by mouth Snuff, by nose Chewing tobacco Betel, quid Other

1 2 If No, go to T12

T10 T11a T11b T11c T11d T11e


If Other, go to T11 other,

32

else go to T13

Other (specify)

T11othe r
Go to
T13

Yes

33

T12
No 2

Number of days Don't know 77 Number of days

34

T13

35

T14

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Participant Identification Number


building, in a work area or a specific office) when you were present? Record the number of days. For those not working in a closed area, record 77.

Don't know or don't work in a closed area 77

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Participant Identification Number

CORE: Alcohol Consumption


The next questions ask about the consumption of alcohol.

Question
Have you ever consumed an alcoholic drink such as beer, wine, spirits, fermented cider or [add other local examples] )? (USE SHOWCARD OR SHOW EXAMPLES) Think of any drinks that contain alcohol. Have you consumed an alcoholic drink within the past 12 months? Think of any drinks that contain alcohol. During the past 12 months, how frequently have you had at least one alcoholic drink? (READ RESPONSES, USE SHOWCARD) Think of the past year only. Have you consumed an alcoholic drink within the past 30 days? Circle the appropriate response. During the past 30 days, on how many occasions did you have at least one alcoholic drink? Think of the past 30 days only. Record the number of occasions. Note that there can be more than one occasion in which alcohol is consumed in a given day. During the past 30 days, when you drank alcohol, on average, how many standard alcoholic drinks did you have during one drinking occasion? (USE SHOWCARD) Help the respondent by averaging out the total number of drinks. During the past 30 days, what was the largest number of standard alcoholic drinks you had on a single occasion, counting all types of alcoholic drinks together? Think of the past 30 days only. During the past 30 days, how many times did you have for men: five or more for women: four or more standard alcoholic drinks in a single drinking occasion? Think of the past 30 days only. Be sure to read the correct number of times: 5 or more for MEN, 4 or more for WOMEN.

Response
Yes 1

Code

36

A1a
No Yes No Daily 5-6 days per week 1-4 days per week 1-3 days per month Less than once a month Yes No 2 1 2 1 2 3 4 5 1 2 If No, go to D1 If No, go to D1 If No, go to D1

37

A1b

38

A2

39

A3

40

Number Dont know 77

A4

41

Number Dont know 77

A5

42

Largest number Don't Know 77

A6

43

Number of times Don't Know 77

A7

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Participant Identification Number

EXPANDED: Alcohol Consumption


44
During the past 30 days, when you consumed an alcoholic drink, how often was it with meals? Please do not count snacks. Think of the past 30 days only. During each of the past 7 days, how many standard drinks of any alcoholic drink did you have each day? (USE SHOWCARD) Don't know 77 Think of the past week only. A standard drink is the amount of ethanol contained in standard glasses of beer, wine, fortified wine such as sherry, and spirits. Depending on the country, these amounts will vary between 8 and 13 grams of ethanol. See showcard. Record for each day the number of standard drinks. If no drinks record 0. Usually with meals Sometimes with meals Rarely with meals Never with meals Monday Tuesday Wednesday Thursday Friday Saturday

1 2 3 4

A8

A9a A9b A9c A9d A9e A9f

45

Sunday

A9g

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Participant Identification Number

CORE: Diet
The next questions ask about the fruits and vegetables that you usually eat. I have a nutrition card here that shows you some examples of local fruits and vegetables. Each picture represents the size of a serving. As you answer these questions please think of a typical week in the last year.

Question
In a typical week, on how many days do you eat fruit? (USE SHOWCARD) Think of any fruit on the show card. A typical week means a "normal" week when your diet is not affected by cultural, religious, or other events. Do not report an average over a period. How many servings of fruit do you eat on one of those days? (USE SHOWCARD) Think of one day the participant can recall easily. In a typical week, on how many days do you eat vegetables? (USE SHOWCARD) Think of any vegetable on the show card. A typical week means a "normal" week when your diet is not affected by cultural, religious, or other events. Do not report an average over a period. How many servings of vegetables do you eat on one of those days? (USE SHOWCARD) Think of one day the participant can recall easily.

Response

Code

46

Number of days Don't Know 77

If Zero days, go to D3

D1

47

Number of servings Don't Know 77

D2

48

Number of days Don't Know 77

If Zero days, go to D5

D3

49

Number of servings Dont know 77

D4

EXPANDED: Diet
What type of oil or fat is most often used for meal preparation in your household? Vegetable oil Lard or suet Butter or ghee Margarine Other None in particular None used Dont know Other On average, how many meals per week do you eat that were not prepared at a home? By meal, I mean breakfast, lunch and dinner. Record the number of meals. 1 2 3 4 5 If Other, go to D5other 6 7 77

50

(USE SHOWCARD, SELECT ONLY ONE) Circle the appropriate response.

D5

D5othe

51

Number Don't know 77

D6

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Participant Identification Number

CORE: Physical Activity


Next I am going to ask you about the time you spend doing different types of physical activity in a typical week. Please answer these questions even if you do not consider yourself to be a physically active person. Think first about the time you spend doing work. Think of work as the things that you have to do such as paid or unpaid work, study/training, household chores, harvesting food/crops, fishing or hunting for food, seeking employment. [Insert other examples if needed]. In answering the following questions 'vigorous-intensity activities' are activities that require hard physical effort and cause large increases in breathing or heart rate, 'moderate-intensity activities' are activities that require moderate physical effort and cause small increases in breathing or heart rate.
Read this opening statement out loud. It should not be omitted. The respondent will have to think first about the time he/she spends doing work (paid or unpaid work, household chores, harvesting food, fishing or hunting for food, seeking employment [Insert other examples if needed]), then about the time he/she travels from place to place, and finally about the time spent in vigorous as well as moderate physical activity during leisure time. Remind the respondent when he/she answers the following questions that 'vigorous-intensity activities' are activities that require hard physical effort and cause large increases in breathing or heart rate, 'moderateintensity activities' are activities that require moderate physical effort and cause small increases in breathing or heart rate. Don't forget to use the showcard which will help the respondent when answering to the questions.

Question
Does your work involve vigorousintensity activity that causes large increases in breathing or heart rate like [carrying or lifting heavy loads, digging or construction work] for at least 10 minutes continuously? Activities are regarded as vigorous intensity if they cause a large increase in breathing and/or heart rate. [INSERT EXAMPLES] (USE SHOWCARD) In a typical week, on how many days do you do vigorous-intensity activities as part of your work? Typical week means a week when a person is doing vigorous intensity activities and not an average over a period. Valid responses range from 17. How much time do you spend doing vigorous-intensity activities at work on a typical day? Think of one day you can recall easily. Consider only those activities undertaken continuously for 10 minutes or more. Probe very high responses (over 4 hrs) to verify. Does your work involve moderateintensity activity, that causes small increases in breathing or heart rate such as brisk walking [or carrying light loads] for at least 10 minutes continuously? Activities are regarded as moderate intensity if they cause a small increase in breathing and/or heart rate.

Response
Yes 1

Code

52

P1
No 2 If No, go to P 4

53

Number of days

P2

54

Hours : minutes

P3 (a-b)
:
hrs mins

55

P4
Yes No 1 2 If No, go to P 7

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Participant Identification Number

[INSERT EXAMPLES] (USE SHOWCARD) In a typical week, on how many days do you do moderate-intensity activities as part of your work? Valid responses range from 1-7 How much time do you spend doing moderate-intensity activities at work on a typical day? Think of one day you can recall easily. Consider only those activities undertaken continuously for 10 minutes or more. Probe very high responses (over 4 hrs) to verify.

56

Number of days

P5

57

Hours : minutes

P6 (a-b)
:
hrs mins

Travel to and from places The next questions exclude the physical activities at work that you have already mentioned. Now I would like to ask you about the usual way you travel to and from places. For example to work, for shopping, to market, to place of worship. [insert other examples if needed]
The introductory statement to the following questions on transport-related physical activity is very important. It asks and helps the participant to now think about how they travel around getting from place-to-place. This statement should not be omitted.

58

Do you walk or use a bicycle (pedal cycle) for at least 10 minutes continuously to get to and from places? Circle the appropriate response. In a typical week, on how many days do you walk or bicycle for at least 10 minutes continuously to get to and from places? Valid responses range from 1-7 How much time do you spend walking or bicycling for travel on a typical day? Think of one day you can recall easily. Consider the total amount of time walking or bicycling for trips of 10 minutes or more. Probe very high responses (over 4 hrs) to verify.

Yes No

1 2 If No, go to P 10

P7

59

Number of days

P8

60

Hours : minutes

P9 (a-b)
:
hrs mins

Recreational activities The next questions exclude the work and transport activities that you have already mentioned. Now I would like to ask you about sports, fitness and recreational activities (leisure),[insert relevant terms].
This introductory statement directs the participant to think about recreational activities. This can also be called discretionary or leisure time. It includes sports and exercise but is not limited to participation competitions. Activities reported should be done regularly and not just occasionally. It is important to focus on only recreational activities and not to include any activities already mentioned. This statement should not be omitted.

Question
Do you do any vigorous-intensity sports, fitness or recreational (leisure) activities that cause large increases in breathing or heart rate like [running or football, ] for at least 10 minutes continuously? Activities are regarded as vigorous intensity if they cause a large increase in breathing and/or heart rate. [INSERT EXAMPLES] (USE SHOWCARD) In a typical week, on how many days do you do vigorous-intensity sports, fitness or recreational (leisure) activities? Valid responses range from 1-7. How much time do you spend doing vigorous-intensity sports, fitness or recreational activities on a typical day? Think of one day you can recall easily.

Response
Yes 1

Code

61

P10
No 2 If No, go to P 13

62 63

Number of days

P11

Hours : minutes

:
hrs mins

P12 (a-b)

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Participant Identification Number


Consider the total amount of time doing vigorous recreational activities for periods of 10 minutes or more. Probe very high responses (over 4 hrs). Do you do any moderate-intensity sports, fitness or recreational (leisure) activities that causes a small increase in breathing or heart rate such as brisk walking,(cycling, swimming, volleyball)for at least 10 minutes continuously? Activities are regarded as moderate intensity if they cause a small increase in breathing and/or heart rate. [INSERT EXAMPLES] (USE SHOWCARD) In a typical week, on how many days do you do moderate-intensity sports, fitness or recreational (leisure) activities? Valid responses range from 1-7 How much time do you spend doing moderate-intensity sports, fitness or recreational (leisure) activities on a typical day? Think of one day you can recall easily. Consider the total amount of time doing moderate recreational activities for periods of 10 minutes or more. Probe very high responses (over 4 hrs).

Yes

64

P13
No 2 If No, go to P16

65

Number of days

P14

66

Hours : minutes

P15 (a-b)
:
hrs mins

EXPANDED: Physical Activity


Sedentary behavior The following question is about sitting or reclining at work, at home, getting to and from places, or with friends including time spent sitting at a desk, sitting with friends, traveling in car, bus, train, reading, playing cards or watching television, but do not include time spent sleeping.
[INSERT EXAMPLES] (USE SHOWCARD) How much time do you usually spend sitting or reclining on a typical day? Consider total time spent at work sitting, in an office, reading, watching television, using a computer, doing hand craft like knitting, resting etc. Do not include time spent sleeping.

67

Hours : minutes

P16 (a-b)
:
hrs min s

CORE: History of Raised Blood Pressure


Question
68
Have you ever had your blood pressure measured by a doctor or other health worker? Circle the appropriate response. Have you ever been told by a doctor or other health worker that you have raised blood pressure or hypertension? Circle the appropriate response. Have you been told in the past 12 months? Circle the appropriate response.

Response
Yes No Yes No Yes No 1 2 1 2 1 2 If No, go to H6 If No, go to H6

Code H1

69

H2a

70

H2b

EXPANDED: History of Raised Blood Pressure


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Participant Identification Number


Are you currently receiving any of the following treatments/advice for high blood pressure prescribed by a doctor or other health worker? Circle the appropriate response for each of the following. Drugs (medication) that you have taken in the past two weeks Advice to reduce salt intake Yes No Yes No Yes No Yes No Yes No Yes No Yes No 1 2 1 2 1 2 1 2 1 2 1 2 1 2

H3a H3b H3c H3d H3e

71
Advice or treatment to lose weight

Advice or treatment to stop smoking

Advice to start or do more exercise Have you ever seen a traditional healer for raised blood pressure or hypertension? Circle the appropriate response. Are you currently taking any herbal or traditional remedy for your raised blood pressure? Circle the appropriate response.

72

H4

73

H5

CORE: History of Diabetes


Question
74
Have you ever had your blood sugar measured by a doctor or other health worker? Circle you ever been told by a doctor or Have the appropriate response. other health worker that you have raised blood sugar or diabetes? Have you been told in the past 12 months? Circle the appropriate response.

Response
Yes No Yes No Yes No 1 2 1 2 1 2 If No, go to M1 If No, go to M1

Code H6 H7a H7b

75 76

EXPANDED: History of Diabetes


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Participant Identification Number

Are you currently receiving any of the following treatments/advice for diabetes prescribed by a doctor or other health worker? Circle the appropriate response for each of the following. Insulin Drugs (medication) that you have taken in the past two weeks Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2

H8a H8b H8c H8d H8e H8f H9 H10

77

Special prescribed diet

Advice or treatment to lose weight

Advice or treatment to stop smoking

Advice to start or do more exercise Have you ever seen a traditional healer for diabetes or raised blood sugar? Circle the appropriate response. Are you currently taking any herbal or traditional remedy for your diabetes? Circle the appropriate response.

78 79

Step 2 CORE: Height and Weight


Question
80 81 82
Interviewer ID Record interviewer ID (for height, weight and waist circumference). Device IDs for height and weight Record device IDs. Height Record participant's height in cm.

Physical Measurements

For guidance on taking and completing physical measurements, see Part 3, Section 3.

Response

Height Weight in Centimetres (cm)

Code M1 M2a

M2b
M3
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Participant Identification Number


83 84
Weight If too large for scale, code 666.6 Record participant's weight in kg. For women: Are you pregnant? If yes, skip to M8.

in Kilograms (kg)

.
Yes No 1 If Yes, go to M 8 2

M4 M5

CORE: Waist
85 86
Device ID for waist Record device ID. Waist circumference Record participant's waist circumference in centimetres. Interviewer ID Record interviewer's ID (in most cases technician would be the same as for height, weight and waist circumference). Device ID for blood pressure Record device ID. Cuff size used Circle size used Reading 1 Record first measurement after the participant has rested for 15 minutes. Wait 3 minutes before taking second measurement. Reading 2 Record second measurement. Ask the participant to rest for another 3 minutes before taking the third measurement. Reading 3 Record third measurement. During the past two weeks, have you been treated for raised blood pressure with drugs (medication) prescribed by a doctor or other health worker? Circle appropriate response. Small Medium Large Systolic ( mmHg) Diastolic (mmHg) Systolic ( mmHg) Diastolic (mmHg) Systolic ( mmHg) Diastolic (mmHg) Yes No

in Centimetres (cm)

M6 M7

CORE: Blood Pressure


87

M8

1 2 3

88 89

M9 M10 M11a M11b M12a M12b M13a M13b M14


1 2

90

91

92

93

EXPANDED: Hip Circumference and Heart Rate


94
Hip circumference Record participant's hip circumference in cm. in Centimeters (cm)

M15

Heart Rate Record the three heart rate readings.

95

Reading 1 Reading 2 Reading 3

Beats per minute Beats per minute Beats per minute

M16a M16b M16c

Step 3 CORE: Blood Glucose


Question
96

Biochemical Measurements

For guidance on taking and completing physical measurements, see Part 3, Section 4.

Response
Yes No 1 2

During the past 12 hours have you had anything to eat or drink, other than water?

Code B1

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Participant Identification Number

It is essential that the participant has

97 98 99 10 0 10 1

Technician ID Device ID Time of day blood specimen taken (24 hour clock) Fasting blood glucose Double check that the participant has fasted. Today, have you taken insulin or other drugs (medication) that have been prescribed by a doctor or other health worker for raised blood glucose?


Hours : minutes

B2 B3 B4 B5

:
hrs

mins

mmol/l Yes No

.
1 2

B6

CORE: Blood Lipids


10 2 10 3 10 4
Device ID Total cholesterol During the past two weeks, have you been treated for raised cholesterol with drugs (medication) prescribed by a doctor or other health worker? mmol/l Yes No

.
1 2

B7 B8 B9

EXPANDED: Triglycerides and HDL Cholesterol


10 5 10 6
Triglycerides HDL Cholesterol mmol/l mmol/l

. .

B10 B11

Physical Measurements

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